TWI653069B - "piston rod and drug delivery device comprising the piston rod" - Google Patents

"piston rod and drug delivery device comprising the piston rod" Download PDF

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Publication number
TWI653069B
TWI653069B TW103107805A TW103107805A TWI653069B TW I653069 B TWI653069 B TW I653069B TW 103107805 A TW103107805 A TW 103107805A TW 103107805 A TW103107805 A TW 103107805A TW I653069 B TWI653069 B TW I653069B
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Taiwan
Prior art keywords
piston rod
bearing assembly
des
proline
flexible feature
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TW103107805A
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Chinese (zh)
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TW201509467A (en
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大衛 普朗皮崔
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德商賽諾菲阿凡提斯德意志有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31511Piston or piston-rod constructions, e.g. connection of piston with piston-rod
    • A61M5/31515Connection of piston with piston rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31533Dosing mechanisms, i.e. setting a dose
    • A61M5/31545Setting modes for dosing
    • A61M5/31548Mechanically operated dose setting member
    • A61M5/3155Mechanically operated dose setting member by rotational movement of dose setting member, e.g. during setting or filling of a syringe
    • A61M5/31551Mechanically operated dose setting member by rotational movement of dose setting member, e.g. during setting or filling of a syringe including axial movement of dose setting member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31501Means for blocking or restricting the movement of the rod or piston
    • A61M2005/31508Means for blocking or restricting the movement of the rod or piston provided on the piston-rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31565Administration mechanisms, i.e. constructional features, modes of administering a dose
    • A61M5/31576Constructional features or modes of drive mechanisms for piston rods
    • A61M5/31583Constructional features or modes of drive mechanisms for piston rods based on rotational translation, i.e. movement of piston rod is caused by relative rotation between the user activated actuator and the piston rod

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

該軸承組件(1)包括在一周邊(3)內的一接觸面(2),其係包圍一中心(4),以及配置於該周邊內的一耦合特徵用以可旋轉地接合一活塞桿中垂直於該接觸面的一組件。該耦合特徵包括由該周邊向該中心延伸的至少一撓性特徵(8),以及該撓性特徵經配置成藉由在朝向該接觸面之一方向施加於該撓性特徵上的一力可向該周邊偏斜以及藉由在相反方向施加於該撓性特徵上的一力可向該中心偏斜。該撓性特徵可具有促進組裝以及與該活塞桿之另一組件結合防止分解的一斜面(9)。該活塞桿之該組件可為導螺桿,以及該活塞桿可用於藥物輸送裝置。 The bearing assembly (1) includes a contact surface (2) in a periphery (3) surrounding a center (4), and a coupling feature disposed in the periphery for rotatably engaging a piston rod A component that is perpendicular to the contact surface. The coupling feature includes at least one flexible feature (8) extending from the perimeter toward the center, and the flexible feature is configured to be applied to the flexible feature in a direction toward one of the contact faces Deviation to the perimeter and a force applied to the flexible feature in the opposite direction can be deflected toward the center. The flexible feature can have a bevel (9) that facilitates assembly and engagement with another component of the piston rod to prevent decomposition. The assembly of the piston rod can be a lead screw and the piston rod can be used in a drug delivery device.

Description

活塞桿以及包含活塞桿的藥物輸送裝置 Piston rod and drug delivery device including the same

本發明係一種用於藥物輸送裝置的活塞桿之軸承組件,且包含該軸承組件的活塞桿及藥物輸送裝置。 The present invention is a bearing assembly for a piston rod of a drug delivery device and includes a piston rod and a drug delivery device of the bearing assembly.

藥物輸送裝置,特別是筆型注射裝置,包括用來由容器(例如,藥物匣盒)射出藥物劑量以及裝設成為藥物匣盒之一部份的塞子。該塞子係用活塞桿驅動,它可設有用於設定劑量以及用於推進活塞桿以輸送設定劑量的機構。在一些筆型注射裝置中,該活塞桿包括在劑量分配期間推進時旋轉的一導螺桿(lead screw)。由於最好避免該塞子旋轉,因此該活塞桿對於塞子在分配期間會有相對旋轉。在此情形下,活塞桿與塞子直接接觸可能產生大磨擦損耗以及需要相當強的驅動力。用適當的軸承可避免此一缺點。此外,最好讓塞子與活塞桿的接觸面積儘可能大,因為小接觸區或點接觸容易導致塞子在分配期間變形,因而減少劑量準確度。因此,在活塞桿與塞子之間配置一軸承組件為較佳。可形成與塞子之大表面區接 合以及只與與活塞桿之小表面區接觸的軸承組件,以便促進活塞桿之組件(例如,導螺桿)與軸承組件的相對旋轉。該軸承組件必須能夠以相對低的組裝力組裝至導螺桿以及沒有損壞組件的風險。該軸承組件在組裝後或在裝置的使用壽命期間必須不會脫落導螺桿,因為這可能導致劑量不準確。該等軸承特徵必須足夠強健以抵擋自動組裝及散裝的嚴苛。 Drug delivery devices, particularly pen-type injection devices, include a stopper for ejecting a dose of a drug from a container (e.g., a drug cartridge) and mounting it as part of a drug cartridge. The plug is driven by a piston rod which can be provided with means for setting the dose and for advancing the piston rod to deliver the set dose. In some pen-type injection devices, the piston rod includes a lead screw that rotates as it advances during dose dispensing. Since the plug is preferably prevented from rotating, the piston rod will rotate relative to the plug during dispensing. In this case, direct contact of the piston rod with the plug may result in large friction losses and requires a relatively strong driving force. This disadvantage can be avoided with a suitable bearing. In addition, it is preferable to make the contact area of the plug and the piston rod as large as possible because the small contact area or point contact easily causes the plug to deform during dispensing, thereby reducing the dose accuracy. Therefore, it is preferred to arrange a bearing assembly between the piston rod and the plug. Can form a large surface area with the plug And a bearing assembly that is only in contact with the small surface area of the piston rod to facilitate relative rotation of the assembly of the piston rod (eg, the lead screw) with the bearing assembly. The bearing assembly must be able to be assembled to the lead screw with relatively low assembly force and without risk of damaging the assembly. The bearing assembly must not detach the lead screw after assembly or during the life of the device as this may result in inaccurate doses. These bearing features must be robust enough to withstand the rigors of automatic assembly and bulk.

美國專利第US 2007/0093761 A1號揭示一種適用於藥物輸送裝置的驅動機構,其係包括活塞桿及包圍該活塞桿大體呈柱形的驅動套筒。該活塞桿的螺紋經設計成可在沿著驅動套筒內表面延伸的螺旋凹槽內工作。該活塞桿的另一螺紋延伸穿過插件的帶螺紋開口。該驅動套筒的軸向運動造成活塞桿根據該插件的螺紋來旋轉,從而推進該活塞桿因而驅動匣盒中的活塞。用抵接匣盒活塞的壓力腳(pressure foot)裝設軸承於該活塞桿上。 U.S. Patent No. US 2007/0093761 A1 discloses a drive mechanism for a drug delivery device that includes a piston rod and a generally cylindrical drive sleeve surrounding the piston rod. The threads of the piston rod are designed to operate within a helical groove extending along the inner surface of the drive sleeve. The other thread of the piston rod extends through the threaded opening of the insert. The axial movement of the drive sleeve causes the piston rod to rotate in accordance with the threads of the insert, thereby propelling the piston rod and thereby driving the piston in the cassette. A bearing is attached to the piston rod by a pressure foot that abuts the piston of the cartridge.

本發明的目標是要減少用於藥物輸送裝置的轉動活塞桿與塞子之間的磨擦損耗。 The object of the present invention is to reduce the frictional losses between the rotating piston rod and the plug for the drug delivery device.

達成此目標是用如申請專利範圍第1項所述之軸承組件,如申請專利範圍第8項所述包括軸承組件之活塞桿以及如申請專利範圍第12項所述之藥物輸送裝置。其他具體實施例來自附屬項。 The object of the present invention is to use a bearing assembly according to the first aspect of the invention, in which the piston rod comprising the bearing assembly according to claim 8 and the drug delivery device according to claim 12 of the patent application. Other specific embodiments are from the dependents.

在一型態中,本發明係有關於一種用於藥物輸送裝置 的活塞桿之軸承組件。該軸承組件包括一接觸面,包圍一中心的一周邊,以及配置於該周邊內的一耦合特徵用以可旋轉地接合一活塞桿中垂直於該接觸面的一組件。該耦合特徵包括由該周邊向該中心延伸的一撓性特徵,以及該撓性特徵經配置成藉由在朝向該接觸面之一方向施加於該撓性特徵上的一力可向該周邊偏斜以及藉由在相反方向施加於該撓性特徵上的一力可向該中心偏斜。可能只有一個撓性元件、兩個撓性元件或兩個以上的撓性元件。 In one form, the invention relates to a drug delivery device The bearing assembly of the piston rod. The bearing assembly includes a contact surface surrounding a perimeter of a center and a coupling feature disposed within the perimeter for rotatably engaging a component of a piston rod that is perpendicular to the contact surface. The coupling feature includes a flexible feature extending from the perimeter toward the center, and the flexible feature is configured to be biased toward the perimeter by a force applied to the flexible feature in a direction toward the contact surface The skew and a force applied to the flexible feature in the opposite direction can be deflected toward the center. There may be only one flexible element, two flexible elements or more than two flexible elements.

在該軸承組件的一具體實施例中,該撓性特徵有相對於該接觸面傾斜的數個斜面,該等斜面向該中心接近該接觸面。 In a specific embodiment of the bearing assembly, the flexible feature has a plurality of ramps that are inclined relative to the contact surface, the ramps facing the center proximate the contact surface.

在另一具體實施例中,該撓性特徵為該軸承組件的一整合部份。 In another embodiment, the flexible feature is an integral part of the bearing assembly.

在另一具體實施例中,該撓性特徵由至少一撓性臂、鉤、叉、齒狀物或凸出元件形成。 In another embodiment, the flexible feature is formed from at least one flexible arm, hook, fork, tooth or protruding element.

在另一具體實施例中,該中心包括一開口,以及該撓性特徵限制該開口。 In another embodiment, the center includes an opening and the flexible feature limits the opening.

在另一具體實施例中,該開口在該撓性特徵向該周邊偏斜時擴大。 In another embodiment, the opening expands when the flexible feature is deflected toward the perimeter.

在另一具體實施例中,該撓性特徵經配置成該軸承組件對於該中心有180度旋轉對稱性。 In another specific embodiment, the flexible feature is configured such that the bearing assembly has a 180 degree rotational symmetry to the center.

在另一型態,本發明係有關於一種包含該軸承組件的活塞桿。 In another form, the invention relates to a piston rod comprising the bearing assembly.

在該活塞桿的一具體實施例中,該活塞桿中被該撓性特徵可旋轉地接合的該組件為一導螺桿。 In a specific embodiment of the piston rod, the assembly of the piston rod rotatably engaged by the flexible feature is a lead screw.

在該活塞桿的另一具體實施例中,該活塞桿中被該撓 性特徵可旋轉地接合的該組件包括有一懸伸凸緣(overhanging flange)的一耦合器(coupler),以及該軸承組件在該撓性特徵堵塞該凸緣下接合該耦合器。 In another specific embodiment of the piston rod, the piston rod is deflected The assembly that is rotatably coupled to the sexual feature includes a coupler having an overhanging flange, and the bearing assembly engages the coupler under the flexible feature that blocks the flange.

在該活塞桿的另一具體實施例中,該活塞桿中被該撓性特徵可旋轉地接合的該組件至少在該軸承組件之該周邊附近的一接觸區接觸該軸承組件。 In another embodiment of the piston rod, the assembly of the piston rod rotatably coupled by the flexible feature contacts the bearing assembly at least in a contact region adjacent the periphery of the bearing assembly.

在另一型態,本發明係有關於一種包含該軸承組件的藥物輸送裝置,該軸承組件可安裝至一活塞桿的一組件。該藥物輸送裝置可為注射裝置、筆型裝置,特別是,筆型注射裝置。 In another form, the invention is directed to a drug delivery device comprising the bearing assembly that is mountable to an assembly of a piston rod. The drug delivery device can be an injection device, a pen-type device, and in particular, a pen-type injection device.

如本文所使用的,用語“藥物”係指包含至少一醫學上活性化合物的醫藥配方,其中,在一具體實施例中,該醫學上活性化合物有達1500Da的分子量及/或為縮氨酸(peptide)、蛋白質、多醣(polysaccharide)、疫苗、DNA、RNA、酶、抗體或其片段、荷爾蒙或寡核苷酸(oligonucleotide)、或上述醫學上活性化合物的混合物,其中,在另一具體實施例中,該醫學上活性化合物適於治療及/或預防糖尿病或與糖尿病有關的併發症,例如糖尿病性視網膜病變(diabetic retinopathy),血栓栓塞症(thromboembolism disorders),例如深靜脈或肺血栓栓塞(pulmonary thromboembolism)、急性冠狀動脈綜合症(acute coronary syndrome,ACS)、心絞痛(angina)、心肌梗塞(myocardial infarction)、癌症、黃斑部病變(macular degeneration)、發炎,花粉過敏,動脈粥樣硬化(atherosclerosis)及/或類風濕關節炎(rheumatoid arthritis),其中,在另一具體實施例中,該醫學上活性化合物包 含用於治療及/或預防糖尿病或與糖尿病有關之併發症(例如,糖尿病性視網膜病變)的至少一縮氨酸,其中,在又一具體實施例中,該醫學上活性化合物包含至少一人類胰島素(human insulin)或人類胰島素類似物或衍生物,胰高血糖素樣縮氨酸(glucagon-like peptide,GLP-1)或彼等之類似物或衍生物,或促胰島素分泌肽-3(exendin-3)或促胰島素分泌肽(exendin-4)或促胰島素分泌肽-3或促胰島素分泌肽-4的類似物或衍生物。 As used herein, the term "drug" refers to a pharmaceutical formulation comprising at least one medically active compound, wherein, in a particular embodiment, the medically active compound has a molecular weight of up to 1500 Da and/or is a peptide ( a peptide, a protein, a polysaccharide, a vaccine, a DNA, an RNA, an enzyme, an antibody or a fragment thereof, a hormone or an oligonucleotide, or a mixture of the above medically active compounds, wherein, in another embodiment The pharmaceutically active compound is suitable for the treatment and/or prevention of diabetes or complications associated with diabetes, such as diabetic retinopathy, thromboembolism disorders, such as deep vein or pulmonary thromboembolism (pulmonary Thromboembolism), acute coronary syndrome (ACS), angina, myocardial infarction, cancer, macular degeneration, inflammation, pollen allergy, atherosclerosis And/or rheumatoid arthritis (rheumatoid arthritis), wherein, in another In the embodiment, the medically active compound package Containing at least one peptide for treating and/or preventing diabetes or a diabetes-related complication (eg, diabetic retinopathy), wherein, in yet another embodiment, the medically active compound comprises at least one human Human insulin or a human insulin analog or derivative, glucagon-like peptide (GLP-1) or an analog or derivative thereof, or insulinotropic peptide-3 ( Exendin-3) or an insulin-secreting peptide (exendin-4) or an insulin-secreting peptide-3 or an insulin-secreting peptide-4 analog or derivative.

胰島素類似物的例子有:Gly(A21)、Arg(B31)、Arg(B32)人類胰島素;Lys(B3)、Glu(B29)人類胰島素;Lys(B28)、Pro(B29)人類胰島素;Asp(B28)人類胰島素;人類胰島素,其中用Asp、Lys、Leu、Val或Ala取代在B28位的脯胺酸(proline),以及其中可用Pro取代在B29位的Lys;Ala(B26)人類胰島素;Des(B28-B30)人類胰島素;Des(B27)人類胰島素;以及Des(B30)人類胰島素。 Examples of insulin analogs are: Gly (A21), Arg (B31), Arg (B32) human insulin; Lys (B3), Glu (B29) human insulin; Lys (B28), Pro (B29) human insulin; Asp ( B28) human insulin; human insulin in which proline at position B28 is replaced with Asp, Lys, Leu, Val or Ala, and Lys at position B29 can be substituted with Pro; Ala(B26) human insulin; Des (B28-B30) human insulin; Des (B27) human insulin; and Des (B30) human insulin.

胰島素衍生物的例子有:B29-N-肉豆蔻醯基-des(B30)人類胰島素;B29-N-棕櫚醯基-des(B30)人類胰島素;B29-N-肉豆蔻醯基人類胰島素;B29-N-棕櫚醯基人類胰島素;B28-N-肉豆蔻醯基LysB28ProB29人類胰島素;B28-N-棕櫚醯基-LysB28ProB29人類胰島素;B30-N-肉豆蔻醯基-ThrB29LysB30人類胰島素;B30-N-棕櫚醯基-ThrB29LysB30人類胰島素;B29-N-(N-棕櫚醯基-Y-麩胺醯基)-des(B30)人類胰島素;B29-N-(N-石膽基-Y-麩胺醯基)-des(B30)人類胰島素;B29-N-((ω-羧基十七醯基)-des(B30)人類胰島素;以及B29-N-(ω-羧基十七醯基)人類胰島素。 Examples of insulin derivatives are: B29-N-myristyl-des (B30) human insulin; B29-N-palmitino-des (B30) human insulin; B29-N-myristyl human insulin; B29 -N-palmitino human insulin; B28-N-myristyl LysB28ProB29 human insulin; B28-N-palmitoyl-LysB28ProB29 human insulin; B30-N-myristyl-ThrB29LysB30 human insulin; B30-N- Palmitoyl-ThrB29LysB30 human insulin; B29-N-(N-palmitoyl-Y-glutamic acid sulfhydryl)-des(B30) human insulin; B29-N-(N-stone-based-Y-glutamine Base)-des (B30) human insulin; B29-N-((ω-carboxyheptadecanyl)-des(B30) human insulin; and B29-N-(ω-carboxyheptadecanyl) human insulin.

促胰島素分泌肽-4(Exendin-4)例如意指促胰島素分泌 肽-4(1-39)、有如下順序的縮氨酸:氫基-組胺酸-甘胺酸-穀胺酸-甘胺酸-酪胺酸-苯丙胺酸-酪胺酸-絲胺酸-天冬胺酸-亮胺酸-絲胺酸-賴胺酸-穀胺醯胺-蛋胺酸-穀胺酸-穀胺酸-穀胺酸-丙胺酸-纈胺酸-精胺酸-亮胺酸-苯丙胺酸-異白胺酸-穀胺酸-色胺酸-亮胺酸-賴胺酸-天冬胺醯胺-甘胺酸-甘胺酸-脯胺酸-絲胺酸-絲胺酸-甘胺酸-丙胺酸-脯胺酸-脯胺酸-脯胺酸-絲胺酸-胺基(H-His-Gly-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Leu-Ser-Lys-Gln-Met-Glu-Glu-Glu-Ala-Val-Arg-Leu-Phe-Ile-Glu-Trp-Leu-Lys-Asn-Gly-Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser-NH2)。 Insulin secretagogue-4 (Exendin-4), for example, means insulin secretion Peptide-4 (1-39), a peptide having the following sequence: hydrogen group-histamine-glycine-glutamic acid-glycine-tyrosine-phenylalanine-tyrosine-serine -aspartic acid-leucine-serine-lysine-glutamine-methionine-glutamic acid-glutamine-glutamic acid-alanine-proline-arginine- Leucto-phenylalanine-isoleucine-glutamate-tryptophan-leucine-lysine-aspartate-glycine-glycine-proline-silic acid- Serine-glycine-alanine-proline-proline-proline-serine-amine (H-His-Gly-Glu-Gly-Thr-Phe-Thr-Ser-Asp- Leu-Ser-Lys-Gln-Met-Glu-Glu-Glu-Ala-Val-Arg-Leu-Phe-Ile-Glu-Trp-Leu-Lys-Asn-Gly-Gly-Pro-Ser-Ser-Gly- Ala-Pro-Pro-Pro-Ser-NH2).

促胰島素分泌肽-4衍生物為例如由下列清單選出的化合物:氫基-(賴胺酸)4-des脯胺酸36,des脯胺酸37促胰島素分泌肽-4(1-39)-胺基(H-(Lys)4-des Pro36,des Pro37 Exendin-4(1-39)-NH2)、氫基-(賴胺酸)5-des脯胺酸36,des脯胺酸37促胰島素分泌肽-4(1-39)-胺基(H-(Lys)5-des Pro36,des Pro37 Exendin-4(1-39)-NH2)、des脯胺酸36促胰島素分泌肽-4(1-39)(des Pro36 Exendin-4(1-39))、des脯胺酸36[天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Asp28]Exendin-4(1-39))、des脯胺酸36[異天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[IsoAsp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽 -4(1-39)(des Pro36[Met(O)14,Asp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14,異天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Met(O)14,IsoAsp28]Exendin-4(1-39))、des脯胺酸36[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Trp(O2)25,Asp28]Exendin-4(1-39))、des脯胺酸36[色胺酸(二氧基)25,異天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Trp(O2)25,IsoAsp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Met(O)14 Trp(O2)25,Asp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14色胺酸(二氧基)25,異天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Met(O)14 Trp(O2)25,IsoAsp28]Exendin-4(1-39));或des脯胺酸36[天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Asp28]Exendin-4(1-39))、des脯胺酸36[異天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[IsoAsp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Met(O)14,Asp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14,異天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Met(O)14,IsoAsp28]Exendin-4(1-39))、des脯胺酸36[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Trp(O2)25,Asp28]Exendin-4(1-39))、des脯胺酸36[色胺酸(二氧基)25,異天冬胺酸28]促胰島素分泌肽 -4(1-39)(des Pro36[Trp(O2)25,IsoAsp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Met(O)14 Trp(O2)25,Asp28]Exendin-4(1-39))、des脯胺酸36[蛋胺酸(氧基)14色胺酸(二氧基)25,異天冬胺酸28]促胰島素分泌肽-4(1-39)(des Pro36[Met(O)14 Trp(O2)25,IsoAsp28]Exendin-4(1-39)),其中-賴胺酸6-胺基(-Lys6-NH2)群可鍵結至促胰島素分泌肽-4衍生物的C端;或有下列順序的促胰島素分泌肽-4衍生物:des脯胺酸36促胰島素分泌肽-4(1-39)-賴胺酸6-胺基(AVE0010)(des Pro36 Exendin-4(1-39)-Lys6-NH2(AVE0010))、分泌肽-4(1-39)-賴胺酸6-胺基(H-(Lys)6-des Pro36[Asp28]Exendin-4(1-39)-Lys6-NH2)、des天冬胺酸28脯胺酸36,脯胺酸37,脯胺酸38促胰島素分泌肽-4(1-39)-胺基(des Asp28 Pro36,Pro37,Pro38Exendin-4(1-39)-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸38[天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-(Lys)6-des Pro36,Pro38[Asp28]Exendin-4(1-39)-NH2)、氫基-天冬胺醯胺-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-Asn-(Glu)5des Pro36,Pro37,Pro38[Asp28]Exendin-4(1-39)-NH2)、des脯胺酸36,脯胺酸37,脯胺酸38[天冬胺酸28]促胰島素分泌肽 -4(1-39)-(賴胺酸)6-胺基(des Pro36,Pro37,Pro38[Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸37,脯胺酸38[天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(H-(Lys)6-des Pro36,Pro37,Pro38[Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-天冬胺醯胺-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(H-Asn-(Glu)5-des Pro36,Pro37,Pro38[Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-(賴胺酸)6-des脯胺酸36[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-賴胺酸6-胺基(H-(Lys)6-des Pro36[Trp(O2)25,Asp28]Exendin-4(1-39)-Lys6-NH2)、氫基-des天冬胺酸28脯胺酸36,脯胺酸37,脯胺酸38[色胺酸(二氧基)25]促胰島素分泌肽-4(1-39)-胺基(H-des Asp28 Pro36,Pro37,Pro38[Trp(O2)25]Exendin-4(1-39)-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸37,脯胺酸38[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-(Lys)6-des Pro36,Pro37,Pro38[Trp(O2)25,Asp28]Exendin-4(1-39)-NH2)、氫基-天冬胺酸-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-Asn-(Glu)5-des Pro36,Pro37,Pro38[Trp(O2)25,Asp28]Exendin-4(1-39)-NH2)、des脯胺酸36,脯胺酸37,脯胺酸38[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(des Pro36,Pro37, Pro38[Trp(O2)25,Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸37,脯胺酸38[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(H-(Lys)6-des Pro36,Pro37,Pro38[Trp(O2)25,Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-天冬胺酸-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(H-Asn-(Glu)5-des Pro36,Pro37,Pro38[Trp(O2)25,Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-(賴胺酸)6-des脯胺酸36[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)-賴胺酸6-胺基(H-(Lys)6-des Pro36[Met(O)14,Asp28]Exendin-4(1-39)-Lys6-NH2)、des蛋胺酸(氧基)14天冬胺酸28脯胺酸36,脯胺酸37,脯胺酸38促胰島素分泌肽-4(1-39)-胺基(des Met(O)14 Asp28 Pro36,Pro37,Pro38 Exendin-4(1-39)-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-(Lys)6-desPro36,Pro37,Pro38[Met(O)14,Asp28]Exendin-4(1-39)-NH2)、氫基-天冬胺醯胺-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-Asn-(Glu)5-des Pro36,Pro37,Pro38[Met(O)14,Asp28]Exendin-4(1-39)-NH2)、des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(des Pro36,Pro37, Pro38[Met(O)14,Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(H-(Lys)6-des Pro36,Pro37,Pro38[Met(O)14,Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-天冬胺醯胺-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(H-Asn-(Glu)5 des Pro36,Pro37,Pro38[Met(O)14,Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-賴胺酸6-des脯胺酸36[蛋胺酸(氧基)14,色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-賴胺酸6-胺基(H-Lys6-des Pro36[Met(O)14,Trp(O2)25,Asp28]Exendin-4(1-39)-Lys6-NH2)、氫基-des天冬胺酸28脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,色胺酸(二氧基)25]促胰島素分泌肽-4(1-39)-胺基(H-des Asp28 Pro36,Pro37,Pro38[Met(O)14,Trp(O2)25]Exendin-4(1-39)-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-(Lys)6-des Pro36,Pro37,Pro38[Met(O)14,Asp28]Exendin-4(1-39)-NH2)、氫基-天冬胺醯胺-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-胺基(H-Asn-(Glu)5-des Pro36,Pro37,Pro38[Met(O)14,Trp(O2)25,Asp28]Exendin-4(1-39)-NH2)、des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(des Pro36,Pro37,Pro38[Met(O)14,Trp(O2)25,Asp28]Exendin-4(1-39)-(Lys)6-NH2)、氫基-(賴胺酸)6-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(S1-39)-(賴胺酸)6-胺基(H-(Lys)6-des Pro36,Pro37,Pro38[Met(O)14,Trp(O2)25,Asp28]Exendin-4(S1-39)-(Lys)6-NH2)、氫基-天冬胺醯胺-(穀胺酸)5-des脯胺酸36,脯胺酸37,脯胺酸38[蛋胺酸(氧基)14,色胺酸(二氧基)25,天冬胺酸28]促胰島素分泌肽-4(1-39)-(賴胺酸)6-胺基(H-Asn-(Glu)5-des Pro36,Pro37,Pro38[Met(O)14,Trp(O2)25,Asp28]Exendin-4(1-39)-(Lys)6-NH2);或前述促胰島素分泌肽-4衍生物中之任一的醫藥上可接受鹽或溶劑合物(solvate)。 The insulinotropic peptide-4 derivative is, for example, a compound selected from the following list: hydrogen-(lysine) 4-des-proline 36, des-proline 37 insulin-secreting peptide-4 (1-39)- Amino (H-(Lys)4-des Pro36, des Pro37 Exendin-4(1-39)-NH2), hydrogen-(lysine) 5-des valine 36, des citrate 37 insulin Secreted peptide-4(1-39)-amino (H-(Lys)5-des Pro36, des Pro37 Exendin-4(1-39)-NH2), des proline 36 insulinotropic peptide-4 (1) -39) (des Pro36 Exendin-4 (1-39)), des proline 36 (aspartate 28) insulin secretagogue-4(1-39) (des Pro36[Asp28]Exendin-4(1 -39)), des proline 36 (isoaspartic acid 28) insulin secreting peptide-4 (1-39) (des Pro36 [IsoAsp28] Exendin-4 (1-39)), des proline 36 [methionine (oxy) 14, aspartate 28] insulin secreting peptide -4(1-39)(des Pro36[Met(O)14, Asp28]Exendin-4(1-39)), des proline 36 [methionine (oxy) 14, isoaspartic acid 28 Insulin secreting peptide-4 (1-39) (des Pro36[Met(O)14, IsoAsp28]Exendin-4(1-39)), des valine 36 [tryptophan (dioxy) 25, Aspartate 28] Insulin secreting peptide-4 (1-39) (des Pro36[Trp(O2)25, Asp28] Exendin-4(1-39)), des proline 36 [tryptophan (II) Oxy)25,isoaspartic acid 28]insulin secretagogue-4(1-39) (des Pro36[Trp(O2)25, IsoAsp28]Exendin-4(1-39)), des valine 36 [methionine (oxy) 14 tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4 (1-39) (des Pro36[Met(O)14 Trp(O2)25 , Asp28] Exendin-4 (1-39)), des proline 36 [methionine (oxy) 14 tryptophan (dioxy) 25, isoaspartate 28] insulin secreting peptide-4 (1-39) (des Pro36[Met(O)14 Trp(O2)25, IsoAsp28]Exendin-4(1-39)); or des proline 36 (aspartate 28) insulinotropic peptide- 4(1-39)(des Pro36[Asp28]Exendin-4(1-39)), des proline 36 (isoaspartic acid 28) insulin secretagogue peptide-4(1-39) (des Pro36[ IsoAsp28]Exendin-4(1-39)), des proline 36 [methionine (oxy) 14, day Aspartate 28] Insulin secreting peptide-4 (1-39) (des Pro36[Met(O)14, Asp28] Exendin-4(1-39)), des proline 36 [methionine (oxyl) 14, isoaspartate 28] insulin secretagogue peptide-4 (1-39) (des Pro36 [Met (O) 14, IsoAsp28] Exendin-4 (1-39)), des proline 36 [color Amino acid (dioxy) 25, aspartic acid 28] insulin secretagogue peptide-4 (1-39) (des Pro36[Trp(O2)25, Asp28] Exendin-4(1-39)), des脯Amino acid 36 [tryptophan (dioxy) 25, isoaspartate 28] insulin secreting peptide -4(1-39)(des Pro36[Trp(O2)25, IsoAsp28]Exendin-4(1-39)), des proline 36 [methionine (oxy) 14 tryptophan (dioxy) 25, aspartate 28] insulin secretagogue peptide-4 (1-39) (des Pro36 [Met (O) 14 Trp (O2) 25, Asp28] Exendin-4 (1-39)), des guanamine Acid 36 [methionine (oxy) 14 tryptophan (dioxy) 25, isoaspartate 28] insulin secreting peptide-4 (1-39) (des Pro36 [Met (O) 14 Trp ( O2)25, IsoAsp28]Exendin-4(1-39)), wherein the -lysine 6-amino group (-Lys6-NH2) group can be bonded to the C-terminus of the insulinotropic peptide-4 derivative; Insulin secreting peptide-4 derivative in the following order: des proline 36 insulinotropic peptide-4(1-39)-lysine 6-amino (AVE0010) (des Pro36 Exendin-4 (1-39) -Lys6-NH2 (AVE0010)), secreted peptide-4(1-39)-lysine 6-amino (H-(Lys)6-des Pro36[Asp28]Exendin-4(1-39)-Lys6- NH2), des aspartate 28 proline 36, proline 37, proline 38 insulin secreting peptide-4(1-39)-amine (des Asp28 Pro36, Pro37, Pro38Exendin-4(1- 39) -NH2), hydrogen-(lysine) 6-des valine 36, proline 38 [aspartate 28] insulin secreting peptide-4(1-39)-amine (H- (Lys)6-des Pro36, Pro38[Asp28]E Xendin-4(1-39)-NH2), hydrogen-aspartamide-glutamine-(glutamic acid) 5-des-proline 36, proline 37, proline 38 [aspartate 28] Insulin secreting peptide-4(1-39)-amino (H-Asn-(Glu)5des Pro36, Pro37, Pro38[Asp28]Exendin-4(1-39)-NH2), des proline 36, 脯Amino acid 37, proline 38 (aspartate 28) insulin secreting peptide -4(1-39)-(lysine) 6-amino group (des Pro36, Pro37, Pro38[Asp28]Exendin-4(1-39)-(Lys)6-NH2), hydrogen--(lysamine) Acid) 6-des proline 36, proline 37, proline 38 [aspartate 28] insulin secreting peptide-4(1-39)-(lysine) 6-amino (H- (Lys) 6-des Pro36, Pro37, Pro38[Asp28]Exendin-4(1-39)-(Lys)6-NH2), Hydrogen-aspartamide-(glutamic acid) 5-des-decylamine Acid 36, proline 37, proline 38 [aspartate 28] insulin secreting peptide-4(1-39)-(lysine) 6-amino (H-Asn-(Glu)5- Des Pro36, Pro37, Pro38[Asp28]Exendin-4(1-39)-(Lys)6-NH2), Hydrogen-(lysine) 6-des proline 36 [tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4 (1-39)-lysine 6-amino (H-(Lys)6-des Pro36[Trp(O2)25, Asp28] Exendin-4 ( 1-39)-Lys6-NH2), hydrogen-des aspartate 28 proline 36, proline 37, proline 38 [tryptophan (dioxy) 25] insulin secreting peptide-4 (1-39)-Amino group (H-des Asp28 Pro36, Pro37, Pro38[Trp(O2)25]Exendin-4(1-39)-NH2), Hydrogen-(lysine) 6-des decylamine Acid 36, proline 37, proline 38 [tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4(1-39)-amino (H-(Lys)6 -d Es Pro36, Pro37, Pro38[Trp(O2)25, Asp28] Exendin-4(1-39)-NH2), Hydrogen-aspartic acid-(glutamic acid) 5-des-proline 36, guanamine Acid 37, proline 38 [tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4(1-39)-amino (H-Asn-(Glu)5-des Pro36 , Pro37, Pro38[Trp(O2)25, Asp28] Exendin-4(1-39)-NH2), des proline 36, proline 37, proline 38 [tryptophan (dioxy) 25 , aspartate 28] insulin secreting peptide-4 (1-39)-(lysine) 6-amino group (des Pro36, Pro37, Pro38[Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2), hydrogen-(lysine) 6-des proline 36, proline 37, guanamine Acid 38 [tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4(1-39)-(lysine) 6-amino (H-(Lys)6-des Pro36 , Pro37, Pro38[Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2), Hydrogen-aspartic acid-(glutamic acid) 5-des-proline 36 , proline 37, proline 38 [tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4 (1-39)-(lysine) 6-amino (H -Asn-(Glu)5-des Pro36, Pro37, Pro38[Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2), Hydrogen-(lysine) 6- DES proline 36 [methionine (oxy) 14, aspartate 28] insulin secretagogue-4(1-39)-lysine 6-amino (H-(Lys)6-des Pro36 [Met(O)14, Asp28] Exendin-4(1-39)-Lys6-NH2), des methionine (oxy) 14 aspartate 28 proline 36, proline 37, proline 38 insulinotropic peptide-4(1-39)-amino (des Met(O)14 Asp28 Pro36, Pro37, Pro38 Exendin-4(1-39)-NH2), hydrogen-(lysine) 6- DES lysine 36, valine 37, valine 38 [methionine (oxy) 14, aspartate 28] insulin secreting peptide-4(1-39)-amine (H-(L) Ys)6-desPro36,Pro37,Pro38[Met(O)14,Asp28]Exendin-4(1-39)-NH2),hydrogen-aspartate-glutamine-(glutamic acid) 5-des-proline 36, proline 37, proline 38 [methionine (oxy) 14, aspartate 28] insulin secreting peptide-4 (1-39)-amino (H-Asn-(Glu) 5 -des Pro36, Pro37, Pro38[Met(O)14, Asp28] Exendin-4(1-39)-NH2), des proline 36, proline 37, proline 38 [methionine (oxyl) 14) Aspartate 28] Insulin secreting peptide-4(1-39)-(lysine) 6-amino group (des Pro36, Pro37, Pro38[Met(O)14, Asp28]Exendin-4(1-39)-(Lys)6-NH2), hydrogen-(lysine) 6-des proline 36, proline 37, guanamine Acid 38 [methionine (oxy) 14, aspartate 28] insulin secreting peptide-4(1-39)-(lysine) 6-amino (H-(Lys)6-des Pro36, Pro37, Pro38[Met(O)14, Asp28] Exendin-4(1-39)-(Lys)6-NH2), Hydrogen-aspartate-glutamine-(glutamic acid) 5-des-proline 36 , proline 37, proline 38 [methionine (oxy) 14, aspartate 28] insulin secreting peptide-4 (1-39)-(lysine) 6-amino (H- Asn-(Glu)5 des Pro36, Pro37, Pro38[Met(O)14, Asp28] Exendin-4(1-39)-(Lys)6-NH2), Hydrogen-lysine 6-des prolin 36[methionine (oxy) 14, tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4 (1-39)-lysine 6-amino (H-Lys6 -des Pro36[Met(O)14, Trp(O2)25, Asp28]Exendin-4(1-39)-Lys6-NH2), hydrogen-des aspartate 28-proline 36, proline 37 , proline 38 [methionine (oxy) 14, tryptophan (dioxy) 25] insulin secreting peptide-4 (1-39)-amino (H-des Asp28 Pro36, Pro37, Pro38 [ Met(O)14, Trp(O2)25]Exendin-4(1-39)-NH2), hydrogen-(lysine) 6-des proline 36, proline 37, proline 38 [ Methionine (oxy) 14, aspartate 28] insulin secretagogue peptide-4(1-39)-amino (H-(Lys)6-des Pro36, Pro37, Pro38[Met(O)14, Asp28] Exendin -4(1-39)-NH2), hydrogen-asparagine decylamine-(glutamic acid) 5-des valine 36, valine 37, lysine 38 [methionine (oxy) 14, tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4 (1-39)-amino (H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Met (O)14, Trp(O2)25, Asp28]Exendin-4(1-39)-NH2), des-proline 36, proline 37, proline 38 [methionine (oxy) 14, Tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4(1-39)-(lysine) 6-amino (des Pro36, Pro37, Pro38[Met(O)14, Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2), Hydrogen-(lysine) 6-des decylamine Acid 36, proline 37, proline 38 [methionine (oxy) 14, tryptophan (dioxy) 25, aspartate 28] insulin secreting peptide-4 (S1-39) - (lysine) 6-amino (H-(Lys)6-des Pro36, Pro37, Pro38[Met(O)14, Trp(O2)25, Asp28] Exendin-4(S1-39)-(Lys) 6-NH2), hydrogen-aspartate decylamine-(glutamic acid) 5-des-proline 36, valine 37, lysine 38 [methionine (oxy) 14, tryptophan ( Dioxy) 25, aspartate 28] insulin secreting peptide-4 (1-39)-(lysine) 6-amino (H-Asn-(Glu)5-des Pro36, Pro37, Pro38[ Met(O)14, Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2); or any of the aforementioned insulinotropic secretion peptide-4 derivatives is pharmaceutically acceptable Salt or solvate.

荷爾蒙的例子有:垂體荷爾蒙或下丘腦荷爾蒙或調節性活性縮氨酸以及如列於Rote Liste(2008版)第50章的拮抗物,例如促性腺激素(Gonadotropine)(促濾泡素(Follitropin)、促黃體素(Lutropin)、絨毛膜性腺激素(Choriongonadotropin)、促月經素(Menotropin)),生長激素(Somatropine,Somatropin),去氨加壓素(Desmopressin),特利加壓素(Terlipressin),人工促性腺素戈那瑞林(Gonadorelin),人工促性腺素曲普瑞林(Triptorelin),人工促性線素亮丙瑞林(Leuprorelin),噴鼻劑布舍瑞林(B使用者elin),促性腺素拮抗劑那法瑞林(Nafarelin),人工促黃體素戈舍瑞林(Goserelin)。 Examples of hormones are: pituitary hormones or hypothalamic hormones or regulatory active peptides and antagonists such as those listed in Rote Liste (2008 edition) Chapter 50, such as Gonadotropine (Follitropin) , Lutropin, Choriongonadotropin, Menotropin, Somatropine, Somatropin, Desmopressin, Terlipressin, Artificial gonadotropin Gonadorelin, artificial gonadotropin Triptorelin, artificial tropin leuprolide, nasal spray buserelin (B user elin) , gonadotropin antagonist Nafarelin, artificial luteinizing hormone Goserelin (Goserelin).

多醣的例子為糖胺聚糖(glucosaminoglycane),例如玻尿酸(hyaluronic acid)、肝素(heparin)、低分子量肝素或超低分子量肝素或其衍生物,或上述多醣的硫酸化型(例如,聚硫酸化型),及/ 或其醫藥上可接受鹽。聚硫酸化低分子量肝素的醫藥上可接受鹽例如為依諾肝素鈉(enoxaparin sodium)。 An example of a polysaccharide is glucosaminoglycane, such as hyaluronic acid, heparin, low molecular weight heparin or ultra low molecular weight heparin or a derivative thereof, or a sulfated form of the above polysaccharide (for example, polysulfation) Type), and / Or a pharmaceutically acceptable salt thereof. A pharmaceutically acceptable salt of polysulfated low molecular weight heparin is, for example, enoxaparin sodium.

抗體為球狀血漿蛋白質(globular plasma protein)(約150kDa),也習稱共享基本結構的免疫球蛋白(immunoglobulin)。由於它們有加至胺基酸殘基的糖鏈,它們為醣蛋白。每個抗體的基本功能單元為免疫球蛋白(Ig)單體(只有一個Ig單元);分泌抗體也可為有兩個Ig單元而與IgA一樣的雙體(dimeric),有4個Ig單元的四體(tetrameric),例如硬骨魚類IgM,或有5個Ig單元的五體(pentameric),例如哺乳動物IgM。 The antibody is a globular plasma protein (about 150 kDa), also known as an immunoglobulin that shares a basic structure. Since they have a sugar chain added to an amino acid residue, they are glycoproteins. The basic functional unit of each antibody is an immunoglobulin (Ig) monomer (only one Ig unit); the secreted antibody can also be a dimeric with two Ig units and the same IgA, with 4 Ig units. A tetrameric, such as a teleost fish IgM, or a pentameric with 5 Ig units, such as mammalian IgM.

Ig單體為由4個聚縮氨酸鏈組成的“Y”形分子;用在半胱胺酸殘基(cysteine residue)間之二硫鍵(disulfide bond)連接的兩個相同重鏈(heavy chain)與兩個相同輕鏈(light chain)。每個重鏈約有440個胺基酸長;每個輕鏈約有220個胺基酸長。重鏈及輕鏈各自含有使其折疊穩定的鏈內二硫鍵。每個鏈由稱作Ig域的結構域構成。該等域含有約70至110個胺基酸以及根據它們的大小及功能分成數類(例如,可變或V,以及恆定或C)。它們有性狀免疫球蛋白折疊,其中兩個β摺板(β sheet)產生“三明治”形狀,其係藉由保持半胱胺酸與其他帶電胺基酸(charged amino acid)的相互作用而固定在一起。 The Ig monomer is a "Y" shaped molecule composed of four poly(amino acid) chains; two identical heavy chains linked by a disulfide bond between cysteine residues (heavy) Chain) with two identical light chains. Each heavy chain is approximately 440 amino acids long; each light chain is approximately 220 amino acids long. The heavy and light chains each contain an intrachain disulfide bond that stabilizes their folding. Each chain consists of a domain called the Ig domain. The domains contain from about 70 to 110 amino acids and are classified into several classes depending on their size and function (e.g., variable or V, and constant or C). They have trait immunoglobulin folds in which two beta sheets produce a "sandwich" shape that is fixed by maintaining the interaction of cysteine with other charged amino acids. together.

有5種用α,δ,ε,γ及μ表示的哺乳動物Ig重鏈。重鏈的類型定義抗體的同型(isotype);這些鏈分別在IgA、IgD、IgE、IgG及IgM抗體中找到。 There are five mammalian Ig heavy chains represented by α, δ, ε, γ and μ. The type of heavy chain defines the isotype of the antibody; these chains are found in IgA, IgD, IgE, IgG, and IgM antibodies, respectively.

不同重鏈的差別在大小及組合物;α與γ含有約450個胺基酸,以及δ約有500個胺基酸,而μ與ε約有550個胺基酸。 每個重鏈有兩個區,即恆定區(CH)與可變區(VH)。在一物種中,恆定區在所有同型相同的抗體中實質相同,但是在有不同同型的抗體中不同。重鏈γ、α及δ有由3個串聯Ig域構成的恆定區,以及用於增加彈性的鉸鏈區(hinge region);重鏈μ及ε有由4個免疫球蛋白域構成的恆定區。該重鏈的可變區不同於由不同B細胞產生的抗體,但是與由單一B細胞或B細胞株(B cell clone)產生的所有抗體相同。每個重鏈的可變區約有110個胺基酸長以及由單一Ig域構成。 The different heavy chains differ in size and composition; alpha and gamma contain about 450 amino acids, and δ has about 500 amino acids, while μ and ε have about 550 amino acids. Each heavy chain has two regions, a constant region (CH) and a variable region (VH). In one species, the constant regions are substantially identical in all antibodies of the same isotype, but differ in antibodies with different isotypes. The heavy chains γ, α, and δ have a constant region composed of three tandem Ig domains, and a hinge region for increasing elasticity; the heavy chains μ and ε have a constant region composed of four immunoglobulin domains. The variable region of the heavy chain differs from the antibody produced by different B cells, but is identical to all antibodies produced by a single B cell or B cell clone. The variable region of each heavy chain is approximately 110 amino acids long and consists of a single Ig domain.

在哺乳動物中,有兩種以λ及κ表示的免疫球蛋白輕鏈。輕鏈有兩個連續域:一個為恆定域(CL)與一個為可變域(VL)。輕鏈的約略長度為211至217個胺基酸。每個抗體含有永遠相同的兩個輕鏈;在哺乳動物的每個抗體中只有一種輕鏈,κ或λ。 In mammals, there are two immunoglobulin light chains represented by lambda and kappa. A light chain has two consecutive domains: one for the constant domain (CL) and one for the variable domain (VL). The light chain has an approximate length of from 211 to 217 amino acids. Each antibody contains two light chains that are always identical; there is only one light chain, κ or λ, in each antibody in a mammal.

雖然所有抗體的一般結構極為類似,給定抗體的獨特性質是由可變(V)區決定,如上述。更特別的是,各有3個輕鏈(VL)及3個重鏈(VH)的可變環負責抗原的結合,亦即,它的抗原特異性(antigen specificity)。這些環被稱作互補決定區(CDR)。因為源於VH及VL域的CDR有助於抗原結合位(antigen-binding site),最終抗原特異性是由重鏈與輕鏈的組合決定,而不是其中之任一單獨決定。 Although the general structure of all antibodies is very similar, the unique properties of a given antibody are determined by the variable (V) region, as described above. More specifically, the variable loops, each having three light chain (VL) and three heavy chain (VH), are responsible for antigen binding, that is, its antigen specificity. These loops are referred to as complementarity determining regions (CDRs). Because the CDRs derived from the VH and VL domains contribute to the antigen-binding site, the ultimate antigen specificity is determined by the combination of heavy and light chains, rather than alone.

如以上所定義,“抗體片段”含有至少一抗原結合片段,而且與由該片段衍生的完整抗體有實質一樣的功能及特異性。木瓜蛋白酶的有限酵素分解(proteolytic digestion)把Ig原型劈分成3個片段。兩個相同的胺基端片段,各自含有一條整個L鏈與大約半條的H鏈,為抗原結合片段(Fab)。第三片段,大小類似但是含有這兩個重鏈中有鏈間二硫鍵的羧基端半部,為可結晶片段(Fc)。該Fc含有 醣類、補體結合及FcR結合位。有限的胃蛋白分解(pepsin digestion)產生含有Fab碎片及鉸鏈區的單一F(ab')2片段,包括H-H鏈間二硫鍵。F(ab')2為抗原結合的二價物(divalent)。可劈分F(ab')2的二硫鍵以便得到Fab'。此外,可融合重鏈及輕鏈的可變區以形成單鏈可變片段(scFv)。 As defined above, an "antibody fragment" contains at least one antigen-binding fragment and has substantially the same function and specificity as an intact antibody derived from the fragment. The proteolytic digestion of papain divides the Ig prototype into three fragments. Two identical amino terminal fragments, each containing one entire L chain and approximately one half of the H chain, are antigen-binding fragments (Fab). The third fragment, which is similar in size but contains a carboxy terminal half having an interchain disulfide bond in the two heavy chains, is a crystallizable fragment (Fc). The Fc contains Carbohydrates, complement binding and FcR binding sites. Limited pepsin digestion produces a single F(ab')2 fragment containing Fab fragments and a hinge region, including the H-H interchain disulfide bond. F(ab')2 is an antigen-bound divalent. The disulfide bond of F(ab')2 can be divided to obtain Fab'. In addition, the variable regions of the heavy and light chains can be fused to form single-chain variable fragments (scFv).

醫藥上可接受之鹽類的例子為酸加成鹽以及鹼鹽。酸加成鹽的例子為氫氯酸鹽或氫溴酸鹽。鹼鹽類的例子為含有一陽離子的鹽類,其中之陽離子係從以下之鹼金族或鹼土族離子中選出,例如鈉離子或鉀離子或鈣離子,或銨離子N+(R1)(R2)(R3)(R4),其中之R1到R4係各自獨立,意指:氫、視需要經取代之C1-C6烷基、視需要經取代之C2-C6烯基、視需要經取代之C6-C10芳基、或視需要經取代之C6-C10雜芳基。醫藥上可接受的其他鹽類範例可參見第十七版的“Remington’s Pharmaceutical Sciences”(1985)(作者:Alfonso R。Gennaro,出版社:美國賓州之Mark Publishing Company,Easton),以及藥理學百科大全(Encyclopedia of Pharmaceutical Technology)。 Examples of pharmaceutically acceptable salts are acid addition salts and base salts. An example of an acid addition salt is a hydrochloride or hydrobromide salt. Examples of the alkali salt are salts containing a cation selected from the group consisting of alkali metal or alkaline earth ions such as sodium ion or potassium ion or calcium ion, or ammonium ion N+(R1)(R2). (R3) (R4), wherein R1 to R4 are each independently, meaning: hydrogen, optionally substituted C1-C6 alkyl, optionally substituted C2-C6 alkenyl, optionally substituted C6- C10 aryl, or optionally substituted C6-C10 heteroaryl. Other examples of pharmaceutically acceptable salts can be found in the seventeenth edition of "Remington's Pharmaceutical Sciences" (1985) (Author: Alfonso R.Gennaro, Publisher: Pennsylvania's Mark Publishing Company, Easton), and pharmacology encyclopedia Encyclopedia of Pharmaceutical Technology.

醫藥上可接受之溶劑合物的例子為水合物。 An example of a pharmaceutically acceptable solvate is a hydrate.

1‧‧‧軸承組件 1‧‧‧ bearing assembly

2‧‧‧接觸面 2‧‧‧Contact surface

3‧‧‧周邊 3‧‧‧around

4‧‧‧中心 4‧‧‧ Center

5‧‧‧耦合特徵 5‧‧‧Coupling characteristics

6‧‧‧活塞桿的組件 6‧‧‧ piston rod components

7‧‧‧活塞桿 7‧‧‧ piston rod

8‧‧‧撓性特徵 8‧‧‧Flexible features

9‧‧‧斜面 9‧‧‧Slope

10‧‧‧開口 10‧‧‧ openings

11‧‧‧耦合器 11‧‧‧ Coupler

12‧‧‧凸緣 12‧‧‧Flange

13‧‧‧接觸區 13‧‧‧Contact area

14‧‧‧外環 14‧‧‧Outer Ring

15‧‧‧塞子 15‧‧‧ plug

16‧‧‧匣盒 16‧‧‧匣 box

17‧‧‧螺紋 17‧‧‧ thread

以下結合附圖詳述軸承組件及包括該軸承組件之活塞桿的具體實施例。 Specific embodiments of the bearing assembly and the piston rod including the bearing assembly will be described in detail below with reference to the accompanying drawings.

圖1的上視圖圖示軸承組件之一具體實施例。 The top view of Figure 1 illustrates one embodiment of a bearing assembly.

圖2為圖1之具體實施例的橫截面圖。 Figure 2 is a cross-sectional view of the embodiment of Figure 1.

圖3圖示組裝期間包括該軸承組件的活塞桿。 Figure 3 illustrates a piston rod that includes the bearing assembly during assembly.

圖4圖示組裝後的圖3活塞桿。 Figure 4 illustrates the piston rod of Figure 3 after assembly.

圖5圖示經受分解力的圖4活塞桿。 Figure 5 illustrates the piston rod of Figure 4 subjected to a resolution force.

圖1以上視圖圖示軸承組件之一具體實施例。軸承組件1可具有大體為圓形的形狀,特別是在軸承組件1意欲用於筆型藥物輸送裝置時。至少一撓性特徵8由周邊3延伸至中心4以及形成用來扣緊活塞桿之另一組件的耦合特徵5。在圖1的具體實施例中,耦合特徵5由兩個撓性特徵8形成,其係以相對於該中心4有180度旋轉的旋轉對稱性的方式配置。可輕易地以較低的成本製成像這樣的軸承1。這兩個撓性特徵8各自覆蓋約120°至160°的角度,約150°為較佳。雖然各個撓性特徵8有在組裝期間可充分彈性活動的撓性,然而撓性特徵8在開口10四周的內緣提供抵抗扭曲的穩定性。該穩定性隨著覆蓋角度而增加。此穩定性有助於防止軸承組件1相對於活塞桿7之軸線的傾斜。此外,這確保有足夠大的開口10供有懸伸凸緣12的耦合器11穿過。反之,可能只有一個撓性元件8或兩個以上的撓性元件8。不過,抵抗扭曲的穩定性會隨著撓性元件數而降低。耦合特徵5可離開軸承組件1中心4的開口10。在此情形下,開口10至少部份被耦合特徵5限制。 Figure 1 above illustrates a specific embodiment of a bearing assembly. The bearing assembly 1 can have a generally circular shape, particularly when the bearing assembly 1 is intended for use with a pen-type drug delivery device. At least one flexible feature 8 extends from the perimeter 3 to the center 4 and forms a coupling feature 5 for fastening the other component of the piston rod. In the particular embodiment of Fig. 1, the coupling feature 5 is formed by two flexible features 8, which are arranged in a rotational symmetry with a 180 degree rotation relative to the center 4. Such a bearing 1 can be easily imaged at a lower cost. The two flexible features 8 each cover an angle of between about 120 and 160, with about 150 being preferred. While each flexible feature 8 has flexibility to be sufficiently resilient during assembly, the flexible feature 8 provides resistance to distortion at the inner edge of the opening 10. This stability increases with the angle of coverage. This stability helps to prevent tilting of the bearing assembly 1 relative to the axis of the piston rod 7. Furthermore, this ensures that there is a sufficiently large opening 10 through which the coupler 11 of the overhanging flange 12 passes. Conversely, there may be only one flexible element 8 or more than two flexible elements 8. However, the stability against distortion will decrease with the number of flexible components. The coupling feature 5 can exit the opening 10 of the center 4 of the bearing assembly 1. In this case, the opening 10 is at least partially constrained by the coupling feature 5.

圖2圖示圖1之具體實施例的橫截面。橫截面的平面垂直於圖1的上視圖。軸承組件1最好包括形成周邊3以及提供軸承組件1之機械穩定性的實心外環14。提供軸承組件1的接觸面2以推頂塞子的對應表面。接觸面2可在外環14的正面上。在周邊3有接觸區13,它可部份覆蓋外環14,撓性特徵8或外環14及撓性特徵8兩者。 Figure 2 illustrates a cross section of the embodiment of Figure 1. The plane of the cross section is perpendicular to the top view of FIG. The bearing assembly 1 preferably includes a solid outer ring 14 that forms the perimeter 3 and provides mechanical stability to the bearing assembly 1. A contact surface 2 of the bearing assembly 1 is provided to push the corresponding surface of the plug. The contact surface 2 can be on the front side of the outer ring 14. There is a contact zone 13 in the periphery 3 which partially covers the outer ring 14, the flexible feature 8 or both the outer ring 14 and the flexible feature 8.

此具體實施例的撓性特徵8有相對於接觸面2之平面呈傾斜的斜面9。斜面9向中心4接近接觸面2,使得耦合特徵5 向接觸面2的平面變窄。撓性特徵8可為由周邊3向中心4延伸的撓性臂、鉤、叉、齒狀物或任何其他凸出元件。撓性特徵8最好與軸承組件1整合。斜面9有促進活塞桿之組裝的優點,這由以下說明可明白。 The flexible feature 8 of this embodiment has a bevel 9 that is inclined relative to the plane of the contact surface 2. The bevel 9 approaches the contact surface 2 towards the center 4 such that the coupling feature 5 The plane to the contact surface 2 is narrowed. The flexible feature 8 can be a flexible arm, hook, fork, tooth or any other protruding element that extends from the perimeter 3 toward the center 4. The flexible feature 8 is preferably integrated with the bearing assembly 1. The bevel 9 has the advantage of facilitating the assembly of the piston rod, as will be apparent from the following description.

圖3圖示包含軸承組件1及另一組件6的活塞桿7,其係處於正在組裝的狀態。軸承組件1以圖2的橫截面圖示,而該另一組件6以透視圖圖示。例如,該另一組件6可為有螺紋17的導螺桿。螺紋17在驅動機構中可用來推進活塞桿7。該另一組件6相對於軸承組件1沿著在圖3中指向下面的垂直箭頭方向移動。該另一組件6面向軸承組件1的末端包括可類似如插頭(spigot)或針栓(pintle)的耦合器11。耦合器11最好設有一懸伸凸緣12。當該另一組件6被引進軸承組件1的開口10時,耦合器11對撓性特徵8的斜面9施力,如圖3的斜箭頭所示。撓性特徵8因此被徑向向外推,以及開口10充分變寬讓耦合器11通過撓性特徵8的邊緣。 Figure 3 illustrates a piston rod 7 comprising a bearing assembly 1 and another assembly 6, which is in a state of being assembled. The bearing assembly 1 is illustrated in cross section of Figure 2, while the other assembly 6 is illustrated in a perspective view. For example, the other component 6 can be a lead screw with a thread 17. The thread 17 can be used to advance the piston rod 7 in the drive mechanism. The further assembly 6 is moved relative to the bearing assembly 1 in the direction of the vertical arrow pointing downwards in FIG. The other component 6 faces the end of the bearing assembly 1 and includes a coupler 11 which can be similar to a spigot or a pintle. The coupler 11 is preferably provided with an overhanging flange 12. When the other component 6 is introduced into the opening 10 of the bearing assembly 1, the coupler 11 applies a force to the ramp 9 of the flexible feature 8, as indicated by the oblique arrow in FIG. The flexible feature 8 is thus pushed radially outward, and the opening 10 is sufficiently widened to allow the coupler 11 to pass the edge of the flexible feature 8.

圖4圖示組裝之後的活塞桿7。凸緣12已移到撓性特徵8的邊緣外,撓性特徵8已放鬆回到原始位置以及藉由堵塞凸緣12來軸向鎖定該另一組件6。可使軸承組件1與藥物匣盒16的塞子15接觸。當該另一組件6旋轉時,耦合器11在軸承組件1內可輕易旋轉,同時軸承組件1及塞子15彼此不相互旋轉。接觸區13從而活塞桿7的組件1、6之間的磨擦相對小。如果也用直接在塞子15上的凸緣12施加推進活塞桿7的力,可進一步減少該磨擦,使得外圍接觸區13上的壓力從而減少由該另一組件6施加至軸承組件1的力矩。反之,凸緣12可與塞子15保持一段距離。接觸面2可在外環14面向塞子15的正面上。 Figure 4 illustrates the piston rod 7 after assembly. The flange 12 has been moved beyond the edge of the flexible feature 8, the flexible feature 8 has been relaxed back to the original position and the other component 6 is axially locked by the occlusion flange 12. The bearing assembly 1 can be brought into contact with the plug 15 of the drug cartridge 16. When the other assembly 6 is rotated, the coupler 11 can be easily rotated within the bearing assembly 1 while the bearing assembly 1 and the plug 15 do not rotate with each other. The contact zone 13 and thus the friction between the components 1, 6 of the piston rod 7 is relatively small. If the force pushing the piston rod 7 is also applied by the flange 12 directly on the plug 15, the friction can be further reduced so that the pressure on the peripheral contact zone 13 thereby reduces the moment applied by the other component 6 to the bearing assembly 1. Conversely, the flange 12 can be kept at a distance from the plug 15. The contact surface 2 can be on the front side of the outer ring 14 facing the plug 15.

撓性特徵8最好配置在軸承組件1的外環14內。外環14保護撓性特徵8不受害於裝置經受衝擊或振動時可能出現的側面負荷(side load)或不受害於組件的直接負載,這可能在自動組裝期間或散裝運輸情形下發生。當活塞桿7在分配期間推向塞子15以及軸承組件1處於壓縮時,沒有負荷作用於撓性特徵8,使得組件1、6牢牢地保持耦合。 The flexible feature 8 is preferably disposed within the outer ring 14 of the bearing assembly 1. The outer ring 14 protects the flexible feature 8 from side loading that may occur when the device is subjected to shock or vibration or from direct loading of the component, which may occur during automated assembly or in bulk shipping situations. When the piston rod 7 is pushed toward the plug 15 during dispensing and the bearing assembly 1 is under compression, no load acts on the flexible feature 8, so that the components 1, 6 remain firmly coupled.

如圖4所示,頂著軸承組件1外環14上的接觸區13推動活塞桿7的主要組件6。接觸區13小到足以使活塞桿7之組件1、6之間的磨擦保持在低位準從而施加至軸承組件1的力矩保持在容許極限內。在活塞桿於操作期間會旋轉的情形下,磨擦減少特別有利。使用低磨擦聚合物可進一步減少磨擦。接觸區13向活塞桿的軸線傾斜以及適合主要組件6之對應接觸面的形狀。接觸區13防止軸承組件1在推進時對於活塞桿7之軸線的傾斜,例如在組裝期間及/或在分配操作期間。此外,傾斜接觸面13有助於與活塞桿之軸線成及/或保持一直線地引導軸承組件1。在轉動活塞桿7的情形下,這特別有利。凸緣12與塞子15保持一段距離以及在外環14面向塞子15的正面上有接觸面2。驅動活塞桿7的力因而經由軸承組件1轉移到塞子15,特別是接觸面2。因此,活塞桿7可自由旋轉同時它的推力經由軸承1的接觸面2轉移到塞子15。因此,如果活塞桿在操作期間旋轉時,此具體實施例為較佳。 As shown in Figure 4, the main assembly 6 of the piston rod 7 is pushed against the contact zone 13 on the outer ring 14 of the bearing assembly 1. The contact zone 13 is small enough to keep the friction between the components 1, 6 of the piston rod 7 at a low level so that the moment applied to the bearing assembly 1 remains within the tolerance limits. Friction reduction is particularly advantageous where the piston rod rotates during operation. Friction can be further reduced by using a low friction polymer. The contact zone 13 is inclined towards the axis of the piston rod and is adapted to the shape of the corresponding contact surface of the main assembly 6. The contact zone 13 prevents tilting of the bearing assembly 1 against the axis of the piston rod 7 during advancement, for example during assembly and/or during dispensing operations. Furthermore, the inclined contact surface 13 helps to guide the bearing assembly 1 in line with and/or in line with the axis of the piston rod. This is particularly advantageous in the case of rotating the piston rod 7. The flange 12 is at a distance from the plug 15 and has a contact surface 2 on the front side of the outer ring 14 facing the plug 15. The force driving the piston rod 7 is thus transferred via the bearing assembly 1 to the plug 15, in particular the contact surface 2. Therefore, the piston rod 7 is free to rotate while its thrust is transferred to the plug 15 via the contact surface 2 of the bearing 1. Therefore, this embodiment is preferred if the piston rod is rotated during operation.

圖5圖示如何防止活塞桿7分解。如果軸向力對於軸承組件1在用圖5之垂直箭頭指出的方向施加至該另一組件6,組件1、6會稍微分離。由於有此一分離力的作用,以及凸緣12與接觸區2平面的距離增加,圖5圖示軸承組件1上的接觸區13不再被 該另一組件6覆蓋。在此情形下,撓性特徵8接合耦合器11的凸緣12。如果撓性特徵8有如同上述具體實施例的傾斜形狀,與凸緣12有此接合迫使撓性特徵8向內變形以及掘入耦合器11。這防止活塞桿7的組件1、6分解,除非有不尋常的外加大力。 Figure 5 illustrates how the piston rod 7 is prevented from decomposing. If the axial force is applied to the bearing assembly 1 in the direction indicated by the vertical arrow of Figure 5, the components 1, 6 will be slightly separated. Due to the effect of this separating force and the increased distance of the flange 12 from the plane of the contact zone 2, Figure 5 illustrates that the contact zone 13 on the bearing assembly 1 is no longer This other component 6 is covered. In this case, the flexible feature 8 engages the flange 12 of the coupler 11. If the flexible feature 8 has a slanted shape as in the above-described embodiment, this engagement with the flange 12 forces the flexible feature 8 to deform inwardly and into the coupler 11. This prevents the components 1, 6 of the piston rod 7 from decomposing unless there is an unusual external force.

Claims (14)

一種活塞桿(7)包括一導螺桿以及一軸承組件(1),其中該軸承組件(1)包括:一接觸面(2),一包圍一中心(4)的周邊(3),以及一配置於該周邊(3)內的耦合特徵(5),用以可旋轉地接合垂直於該接觸面(2)的導螺桿,其中該耦合特徵(5)包括一由該周邊(3)向該中心(4)延伸的撓性特徵(8),以及該撓性特徵(8)經配置成藉由在朝向該接觸面(2)之一方向施加於該撓性特徵(8)上的一力可向該周邊(3)偏斜以及藉由在相反方向施加於該撓性特徵(8)上的一力可向該中心(4)偏斜,其中該導螺桿至少在該軸承組件(1)之該周邊(3)附近的一接觸區(13)接觸該軸承組件(1)。 A piston rod (7) includes a lead screw and a bearing assembly (1), wherein the bearing assembly (1) comprises: a contact surface (2), a periphery (3) surrounding a center (4), and a configuration a coupling feature (5) in the periphery (3) for rotatably engaging a lead screw perpendicular to the contact surface (2), wherein the coupling feature (5) includes a center (3) from the periphery (3) (4) an extended flexible feature (8), and the flexible feature (8) is configured to be applied to the flexible feature (8) in a direction toward one of the contact faces (2) Deviation to the perimeter (3) and deflection by a force applied to the flexible feature (8) in the opposite direction to the center (4), wherein the lead screw is at least at the bearing assembly (1) A contact zone (13) near the periphery (3) contacts the bearing assembly (1). 如申請專利範圍第1項所述之活塞桿(7),其中該撓性特徵(8)有相對於該接觸面(2)傾斜的數個斜面(9),該等斜面(9)向該中心(4)接近該接觸面(2)。 The piston rod (7) of claim 1, wherein the flexible feature (8) has a plurality of inclined faces (9) inclined with respect to the contact surface (2), the inclined faces (9) being The center (4) is close to the contact surface (2). 如申請專利範圍第1項或第2項所述之活塞桿(7),其中該撓性特徵(8)為該軸承組件(1)的一整合部份。 The piston rod (7) of claim 1 or 2, wherein the flexible feature (8) is an integral part of the bearing assembly (1). 如申請專利範圍第1項所述的活塞桿(7),其中該撓性特徵(8)由至少一撓性臂、鉤、叉、齒狀物或凸出元件形成。 A piston rod (7) according to claim 1 wherein the flexible feature (8) is formed by at least one flexible arm, hook, fork, tooth or projecting element. 如申請專利範圍第1項所述之活塞桿(7),其中 該中心(4)包括一開口(10),以及該撓性特徵(8)限制該開口(10)。 A piston rod (7) as claimed in claim 1 wherein The center (4) includes an opening (10) and the flexible feature (8) limits the opening (10). 如申請專利範圍第5項所述之活塞桿(7),其中該開口(10)在該撓性特徵(8)向該周邊(3)偏斜時擴大。 The piston rod (7) of claim 5, wherein the opening (10) is enlarged when the flexible feature (8) is deflected toward the periphery (3). 如申請專利範圍第1項所述之活塞桿(7),其中該撓性特徵(8)經配置成該軸承組件(1)相對於該中心(4)有180度旋轉對稱性。 The piston rod (7) of claim 1, wherein the flexible feature (8) is configured such that the bearing assembly (1) has a 180 degree rotational symmetry with respect to the center (4). 如申請專利範圍第1項所述之活塞桿(7),其中該導螺桿包括有一懸伸凸緣(12)的一耦合器(11),以及該軸承組件(1)在該撓性特徵(8)堵塞該凸緣(12)下接合該耦合器(11)。 A piston rod (7) according to claim 1, wherein the lead screw comprises a coupler (11) having an overhanging flange (12), and the bearing assembly (1) is in the flexible feature ( 8) Blocking the flange (12) to engage the coupler (11). 如申請專利範圍第1項所述之活塞桿(7),其中該接觸區(13)朝向該活塞桿(7)的一軸線傾斜。 The piston rod (7) of claim 1, wherein the contact zone (13) is inclined toward an axis of the piston rod (7). 如申請專利範圍第1項所述之活塞桿(7),其中該接觸區(13)適合該導螺桿之對應接觸面的一形狀。 The piston rod (7) of claim 1, wherein the contact zone (13) is adapted to a shape of a corresponding contact surface of the lead screw. 一種藥物輸送裝置,其係包括如申請專利範圍第1項至第10項中之任一項所述之一活塞桿(7)。 A drug delivery device comprising a piston rod (7) according to any one of claims 1 to 10. 如申請專利範圍第11項所述之藥物輸送裝置,其中該軸承組件(1)安裝至該導螺桿。 The drug delivery device of claim 11, wherein the bearing assembly (1) is mounted to the lead screw. 如申請專利範圍第11項或第12項所述之藥物輸送裝置,該藥物輸送裝置為一注射裝置。 The drug delivery device of claim 11 or 12, wherein the drug delivery device is an injection device. 如申請專利範圍第11項所述之藥物輸送裝置,該藥物輸送裝置為一筆型裝置。 The drug delivery device of claim 11, wherein the drug delivery device is a one-piece device.
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